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Speech-Language and Hearing Providers Report

This report is published by the ADHS Division of Licensing Services. For assistance, please contact the Bureau of Licensing for Professions and Occupations at Phone (602) 364-2079; Fax (602) 364-4769.
Name: RAQUEL AHIWELA MARINO
Facility ID: SLP13055
Initial License Issued: 5/26/2021
License Effective: 5/26/2023
License Expires: 5/25/2025
Status: CLOSED-STATE Closed Date: 5/26/2025
License: SLPA13055
Provider Type: SPEECH-LANGUAGE PATHOLOGIST ASSISTANTS 


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